Abstract P384: Disparities in Activity Limitations among Adults with Coronary Heart Disease and Stroke
Background: Cardiovascular disease is the leading cause of mortality and a major cause of disability among US adults. Activity limitations are one aspect of disability and are likely to vary among those with- and without cardiovascular disease, as well as by sociodemographic characteristics. The objective of this report is to use the most recent national surveillance data to assess disparities of self-reported activity limitations among those with coronary heart disease (CHD) and stroke.
Methods: Using 2012 Behavioral Risk Factor Surveillance System data, an annual, state-based telephone survey of adults collecting health behavior and risk factors information, we identified those with self-reported CHD and stroke. Self-reported activity limitations were assessed using the question, “Are you limited in any way in any activities because of physical, mental, or emotional problems?” Age-standardized prevalence of activity limitations was measured among those with CHD and stroke, respectively. Selected demographic and descriptive characteristics included age, sex, race/ethnicity, education, income, health insurance, arthritis and diabetes.
Results: Among 471,812 eligible participants, 6.8% and 2.9% reported CHD and stroke, respectively. Self-reported prevalence of activity limitations was significantly higher among those with CHD (50.2% vs 18.1%, p<0.001) and stroke (55.4% vs 19.3%, p<0.001) than those without the conditions, respectively. Among those with CHD, significant higher activity limitations existed among middle aged population (57.0%, 95% confidence interval 55.3-58.7) for 45-64 years compared to 43.7% (39.6-47.8) for 18-44 years; American Indian/Alaska natives (67.5% (57.9-75.9)) compared to Asia-Pacific Islanders (31.8% (19.5-47.2)), non-Hispanic whites (48.2% (45.5-51.0)), non-Hispanic blacks (48.9% (42.7-55.0)) and Hispanics (38.9% (33.2-44.8)); those with less than high school education (54.5% (48.2-60.6)) compared to those with college or higher education (32.6% (29.4-35.9)); as well as those with household income <$25,000 (55.1% (52.1-58.0) compared to those ≥$50,000 (28.6% (24.7-32.7)). Similar patterns were noted among those with stroke. By state, age-standardized prevalence of activity limitation among those with CHD ranged from 30.3% (24.4-36.9) (Maryland) to 62.9% (53.8-71.3) (Tennessee). Among those with stroke, the prevalence of reported activity limitation ranged from 31.1% (20.3-44.4) (Delaware) to 74.6% (66.3-81.4) (Tennessee).
Conclusion: Among those who report a history of CHD or stroke, more than half reported activity limitations. Significant disparities were noted among subgroups by sociodemographic characteristics and state.
Author Disclosures: J. Fang: None. C. Ayala: None. G. Wang: None. F. Loustalot: None.
- © 2014 by American Heart Association, Inc.